Healthcare Provider Details

I. General information

NPI: 1225336845
Provider Name (Legal Business Name): TIFFANY ARIELLA SCHUMAKER DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2011
Last Update Date: 08/08/2023
Certification Date: 08/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3030 WESTCHESTER AVE
PURCHASE NY
10577-2574
US

IV. Provider business mailing address

505 E 70TH ST FL 3
NEW YORK NY
10021-4872
US

V. Phone/Fax

Practice location:
  • Phone: 914-305-2725
  • Fax: 914-607-6261
Mailing address:
  • Phone: 646-962-3442
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number262522
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License Number262522
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: